Individual
DR. MICHAEL A DUBE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207XX0801X
Orthopaedic Trauma Physician
Primary
8724
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000099840
BLUE CROSS BLUE SHIELD
MT
05
—
0048161
—
MT
01
—
0202143
WASHINGTON L & I
MT
01
—
200044986
RAILROAD MEDICARE
MT
01
—
810347861
CHAMPUS
MT
01
—
810347861014
EBMS
MT
Enumeration date
06/14/2006
Last updated
04/08/2024
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